Home / Journals / CJU / Vol.21, Suppl.3, 2014
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  • Open AccessOpen Access

    EDITORIAL

    “How We Do It” - The New Guidebook in Urology for Primary Care Physicians

    Jack Barkin
    Canadian Journal of Urology, Vol.21, Suppl.3, pp. 1-1, 2014
    Abstract This article has no abstract. More >

  • Open AccessOpen Access

    ARTICLE

    A practical primary care approach to overactive bladder

    Matt T. Rosenberg1, Erik S. Witt1, Jack Barkin2, Martin Miner3
    Canadian Journal of Urology, Vol.21, Suppl.3, pp. 2-11, 2014
    Abstract The evaluation and treatment of overactive bladder (OAB) starts in the primary care office and can be accomplished efficiently, effectively and, most importantly, safely. With appropriate knowledge of the disease and an understanding of what to look for the primary care physician (PCP) can readily make the empiric diagnosis and initiate treatment. The key for the PCP is to be able to distinguish the uncomplicated patient from the complicated one and know when to refer, if necessary. It is also essential to be able to able to identify confounding conditions that could either be the More >

  • Open AccessOpen Access

    ARTICLE

    A practical primary care approach to lower urinary tract symptoms caused by benign prostatic hyperplasia (BPH-LUTS)

    Matt T. Rosenberg1, Erik S. Witt1, Martin Miner2, Jack Barkin3
    Canadian Journal of Urology, Vol.21, Suppl.3, pp. 12-24, 2014
    Abstract In the primary care office the evaluation of prostate related lower urinary tract symptoms (BPH-LUTS) in the male can be confusing. Are the symptoms, in fact, from the prostate or is there another etiology such as the bladder or medical conditions causing or contributing to the problems? If the cause is the prostate, how does the physician choose from the multitude of available treatment options and when is referral appropriate? The prevalence of BPH-LUTS is high and commonly encountered by the primary care physician (PCP). An understanding of the normal prostate is essential to identifying More >

  • Open AccessOpen Access

    ARTICLE

    Erectile dysfunction in primary care: a focus on cardiometabolic risk evaluation and stratification for future cardiovascular events

    Martin Miner1, Matt T. Rosenberg2, Jack Barkin3
    Canadian Journal of Urology, Vol.21, Suppl.3, pp. 25-38, 2014
    Abstract An association between erectile dysfunction (ED) and cardiovascular disease has long been recognized, and studies suggest that ED is an independent marker of cardiovascular disease risk and even further, a marker for the burden of both obstructive and non-obstructive coronary artery disease. Therefore, the primary care physician (PCP) must assess the presence or absence of ED in every man > 39 years of age, especially if that man is asymptomatic of signs and symptoms of coronary artery disease. Assessment and management of ED may help identify and reduce the risk of future cardiovascular events, particularly… More >

  • Open AccessOpen Access

    ARTICLE

    Testosterone deficiency: myth, facts, and controversy

    Martin Miner1, Jack Barkin2, Matt T. Rosenberg3
    Canadian Journal of Urology, Vol.21, Suppl.3, pp. 39-54, 2014
    Abstract Testosterone deficiency (TD) afflicts approximately 30% of men ages 40-79 years, with an increase in prevalence strongly associated with aging and common medical conditions including obesity, diabetes, and hypertension. There appears to be a strong relationship between TD and metabolic syndrome, though the relationship is not certain to be causal. Several studies have suggested that repletion of testosterone in deficient men with these comorbidities may indeed reverse or delay their progression. While testosterone repletion has been largely thought of in a sexual realm, we discuss its potential role in general men’s health concerns: metabolic, body… More >

  • Open AccessOpen Access

    ARTICLE

    A guide to the management of urologic dilemmas for the primary care physician (PCP)

    Jack Barkin1, Matt T. Rosenberg2, Martin Miner3
    Canadian Journal of Urology, Vol.21, Suppl.3, pp. 55-63, 2014
    Abstract Patients with urologic conditions may present to a primary care physician (PCP) in the emergency department or in the PCP’s office. Some conditions are true emergencies that require immediate surgical intervention. Others may require medical treatment or possibly simply reassuring the patient that there is no serious medical problem. Sometimes the diagnosis can be easily made, whereas other times the PCP needs to be able to rule out serious causes for a presenting problem and execute a guidelinerecommended patient work up, to make a final diagnosis. Sometimes recommended diagnostic tests may not be readily available.… More >

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